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NCT03322267

Adjuvant Pembrolizumab for Patients With Locally Advanced Esophageal Squamous Cell Carcinoma at High Risk of Recurrence

Completed Phase 2 Results posted Last updated 6 March 2026
What this trial tests

Phase 2 trial testing Pembrolizumab in Esophageal Squamous Cell Carcinoma in 26 participants. Completed in 30 January 2026.

Timeline
27 October 2018
Primary endpoint
31 January 2024
30 January 2026

Quick facts

Lead sponsorNational Taiwan University Hospital
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment26
Start date27 October 2018
Primary completion31 January 2024
Estimated completion30 January 2026
Sites1 location across Taiwan

Drugs / interventions tested

Conditions studied

Sponsor

National Taiwan University Hospital

Who can join

20 and older, any sex, with Esophageal Squamous Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

1-year Relapse-free Survival Rate Primary · up to 21.6 months

From enrollment to relapse or death

GroupValue95% CI
Pembrolizumab14.39.0 – 19.5

Adverse events — posted to ClinicalTrials.gov

Time frame: I year. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab
Serious: 5/25 (20%)
Deaths: 17/25

Serious adverse events (4 terms)

ReactionSystemPembrolizumab
InfectionInfections and infestations
ColitisGastrointestinal disorders
LeucopeniaBlood and lymphatic system disorders
PancreatitisGastrointestinal disorders
Other adverse events (7 terms — click to expand)

ReactionSystemPembrolizumab
LeucopeniaBlood and lymphatic system disorders
InfectionInfections and infestations
DiarrheaGastrointestinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
anemiaBlood and lymphatic system disorders
thrombocytopeniaBlood and lymphatic system disorders

Most-reported serious reactions: Infection, Colitis, Leucopenia, Pancreatitis.

Data from ClinicalTrials.gov NCT03322267 adverse events section.

Sponsor's own description

In this study, participants with histologically diagnosed locally advanced esophageal squamous cell carcinoma who have received preoperative cisplatin-based chemoradiotherapy followed by surgery harbouring high risk of tumor recurrence will receive adjuvant cisplatin-based chemoradiotherapy followed by pembrolizumab. The primary study hypothesis is that adjuvant pembrolizumab will improve the 1-year recurrence-free survival rate compared to historical control.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The Combination Options and Predictive Biomarkers of PD-1/PD-L1 Inhibitors in Esophageal Cancer.
    Yang H, Wang K, Wang T, Li M, et al · · 2020 · cited 35× · PMID 32195194 · DOI 10.3389/fonc.2020.00300
  2. Immune checkpoint inhibitors in esophageal squamous cell carcinoma: progress and opportunities.
    Jiao R, Luo H, Xu W, Ge H. · · 2019 · cited 26× · PMID 31551657 · DOI 10.2147/ott.s214579
  3. Current state of the art: immunotherapy in esophageal cancer and gastroesophageal junction cancer.
    Li N, Sohal D. · · 2023 · cited 22× · PMID 37995002 · DOI 10.1007/s00262-023-03566-5
  4. Radiotherapy combined with immune checkpoint inhibitors in locally advanced/metastatic esophageal squamous cell carcinoma: clinical trials, efficacy and future directions.
    Jiang M, Hu Y, Lin G, Chen C, et al · · 2023 · cited 18× · PMID 37325652 · DOI 10.3389/fimmu.2023.1177085
  5. Opportunities and challenges in combining immunotherapy and radiotherapy in esophageal cancer.
    Zhang X, Cai X, Yan C. · · 2023 · cited 6× · PMID 37985502 · DOI 10.1007/s00432-023-05499-z
  6. Narrative review of pembrolizumab for the treatment of esophageal cancer: evidence and outlook.
    Jin Z, Shen J, Wang C, Chen D, et al · · 2021 · cited 6× · PMID 34430630 · DOI 10.21037/atm-21-2804
  7. A narrative review of the evolving role of immunotherapy in the management of esophageal and gastric cancer.
    Madan A, Uronis HE, Strickler JH. · · 2022 · cited 5× · PMID 36092313 · DOI 10.21037/jgo-22-55
  8. Challenges and perspectives for immunotherapy in oesophageal cancer: A look to the future (Review).
    Lampis A, Ratti M, Ghidini M, Mirchev MB, et al · · 2021 · cited 5× · PMID 33846775 · DOI 10.3892/ijmm.2021.4930

Verify or expand the search:

Other trials of Pembrolizumab

Trials testing the same drug.

Other recruiting trials for Esophageal Squamous Cell Carcinoma

Currently open trials in the same condition.

Other National Taiwan University Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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